Form Il-1040 - Schedule Nr - Nonresident And Part-Year Resident Computation Of Illinois Tax - 2009

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Illinois Department of Revenue
Nonresident and Part-Year Resident
2009 Schedule NR
Computation of Illinois Tax
Attach to your Form IL–1040
IL Attachment No. 2
-
-
Your name as shown on your Form IL-1040
Your Social Security number
Step 1: Provide the following information
1
Were you, or your spouse if “married fi ling jointly,” a full-year resident of Illinois during the tax year?
Yes
No
If you answered “Yes,”
you cannot use this form (see instructions).
2
If you, or your spouse if “married fi ling jointly,” were a part-year resident during the tax year, tell us your residency dates for 2009.
0 9
0 9
0 9
0 9
a
I lived in Illinois from
/
/
to
/
/
I lived in
from
/
/
to
/
/
Month Day
Year
Month Day
Year
State
Month Day
Year
Month Day
Year
0 9
0 9
0 9
0 9
b
My spouse lived in Illinois from
/
/
to
/
/
, and
from
/
/
to
/
/
Month
Day Year
Month Day
Year
State
Month Day
Year
Month Day
Year
3
If you were a resident of any of the states listed below during the tax year, check the appropriate state.
Iowa
Kentucky
Michigan
Wisconsin
4
If you earned income or fi led a tax return for the tax year in a state other than those listed above, write the two-letter abbreviation of that state.
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
Step 2: Complete Form IL-1040
Complete Lines 1 through 10 of your Form IL-1040, Individual Income Tax Return, as if you were a full-year Illinois resident. Then, complete
the remainder of this schedule following the instructions for your residency. Attach Schedule NR to your Form IL-1040.
Step 3: Figure the Illinois portion of your federal adjusted gross income
Write the amounts from your federal return in Column A. Before completing Column B, read the Column B instructions.
Column A
Column B
Federal Total
Illinois Portion
5
5
Wages, salaries, tips, etc. (federal Form 1040 or 1040A, Line 7; 1040EZ, Line 1)
.00
.00
6
6
Taxable interest income (federal Form 1040 or 1040A, Line 8a; 1040EZ, Line 2)
.00
.00
7
7
Ordinary dividend income (federal Form 1040 or 1040A, Line 9a)
.00
.00
8
Taxable refunds, credits, or offsets of state and local income tax
8
(federal Form 1040, Line 10)
.00
.00
9
9
Alimony received (federal Form 1040, Line 11)
.00
.00
10
10
Business income or loss (federal Form 1040, Line 12)
.00
.00
11
11
Capital gain or loss (federal Form 1040, Line 13 or 1040A, Line 10)
.00
.00
12
12
Other gains or losses (federal Form 1040, Line 14)
.00
.00
13
13
Taxable IRA distributions (federal Form 1040, Line 15b; or 1040A, Line 11b)
.00
.00
14
14
Taxable pensions and annuities (federal Form 1040, Line 16b; or 1040A, Line 12b)
.00
.00
15
Rents, royalties, partnerships, S corporations, estates, and trusts
15
(federal Form 1040, Line 17)
.00
.00
16
16
Farm income or loss (federal Form 1040, Line 18)
.00
.00
17
Unemployment compensation and Alaska Permanent Fund dividends
17
(federal Form 1040, Line 19; 1040A, Line 13; 1040EZ, Line 3)
.00
.00
18
18
Taxable Social Security benefi ts (federal Form 1040, Line 20b; or 1040A, Line 14b)
.00
.00
19
Other income (federal Form 1040, Line 21)
19
Include winnings from the Illinois State Lottery as Illinois income in Column B.
.00
.00
20
20
Add Column B, Lines 5 through 19. This is the Illinois portion of your federal total income.
.00
*961201110*
Continue with Step 3 on Page 2
IL–1040 Schedule NR Front (R-12/09)

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